ID

43546

Description

Study part: Children Ages 6-11 National Survey of Childrens Health, NSCH, 2016. A study by the U.S. Department of Health and Human Services to better understand the health issues faced by children in the United States today. Child and Adolescent Health Measurement Initiative, Data Resource Center on Child and Adolescent Health website. Retrieved on 07/12/2016 from http://childhealthdata.org/learn/NSCH/resources/survey-instruments. OMB No. 0607-0990: Approval Expires 04/30/2019.

Link

http://childhealthdata.org/learn/NSCH/resources/survey-instruments

Keywords

Versions (2)
  1. 1/6/17 1/6/17 -
  2. 9/20/21 9/20/21 -
Uploaded on

September 20, 2021

DOI

To request one please log in.

License

Creative Commons BY-NC 3.0
Model comments :

You can comment on the data model here. Via the speech bubbles at the itemgroups and items you can add comments to those specificially.

Back to model comments
Itemgroup comments for :

Item comments for :

In order to download data models you must be logged in. Please log in or register for free.

NSCH 2016 Children Ages 6-11

English

A. This Child’s Health

11 forms  
This Child’s Health
Description

This Child’s Health

Alias
UMLS CUI-1
C0018759
UMLS CUI-2
C0008059
1.In general, how would you describe this child’s health (the one named above)?
Description

health Child

Data type

text

Alias
UMLS CUI [1,1]
C0018759
UMLS CUI [1,2]
C0008059
2. How would you describe the condition of this child’s teeth?
Description

health status teeth

Data type

text

Alias
UMLS CUI [1,1]
C0018759
UMLS CUI [1,2]
C0040426
3a. How well do each of the following phrases describe this child? This child shows interest and curiosity in learning new things
Description

Child Attitudes Curious

Data type

text

Alias
UMLS CUI [1,1]
C0870265
UMLS CUI [1,2]
C0564588
3b. How well do each of the following phrases describe this child? This child works to finish tasks he or she starts
Description

Child Attitudes Complete Task

Data type

text

Alias
UMLS CUI [1,1]
C0870265
UMLS CUI [1,2]
C0205197
UMLS CUI [1,3]
C3540678
3c. How well do each of the following phrases describe this child? This child stays calm and in control when faced with a challenge
Description

Child Attitudes Calm character

Data type

text

Alias
UMLS CUI [1,1]
C0870265
UMLS CUI [1,2]
C0564528
3d. How well do each of the following phrases describe this child? This child cares about doing well in school
Description

Child Attitudes academic performance

Data type

text

Alias
UMLS CUI [1,1]
C0870265
UMLS CUI [1,2]
C0036373
3e. How well do each of the following phrases describe this child? This child does all required homework
Description

Child Attitudes Able to do homework

Data type

text

Alias
UMLS CUI [1,1]
C0870265
UMLS CUI [1,2]
C4274630
3f. How well do each of the following phrases describe this child? This child is bullied, picked on, or excluded by other children
Description

Child Attitudes Victim of bullying

Data type

text

Alias
UMLS CUI [1,1]
C0870265
UMLS CUI [1,2]
C0562379
3g. How well do each of the following phrases describe this child? This child bullies others, picks on them, or excludes them
Description

Child Attitudes Bullying

Data type

text

Alias
UMLS CUI [1,1]
C0870265
UMLS CUI [1,2]
C0424318
3h. How well do each of the following phrases describe this child? This child argues too much
Description

Child Attitudes argument with parent-child

Data type

text

Alias
UMLS CUI [1,1]
C0870265
UMLS CUI [1,2]
C0848421
4a. DURING THE PAST 12 MONTHS, has this child had FREQUENT or CHRONIC difficulty with any of the following?Breathing or other respiratory problems (such as wheezing or shortness of breath)
Description

chronic disease Respiration Disorders wheezing

Data type

boolean

Alias
UMLS CUI [1,1]
C0008679
UMLS CUI [1,2]
C0035204
UMLS CUI [1,3]
C0043144
4b. DURING THE PAST 12 MONTHS, has this child had FREQUENT or CHRONIC difficulty with any of the following? Eating or swallowing because of health condition
Description

chronic disease Eating Disorders Deglutition Disorders

Data type

boolean

Alias
UMLS CUI [1,1]
C0008679
UMLS CUI [1,2]
C0013473
UMLS CUI [1,3]
C0011168
4c. DURING THE PAST 12 MONTHS, has this child had FREQUENT or CHRONIC difficulty with any of the following?Digesting food, including stomach/ intestinal problems, constipation, or diarrhea
Description

chronic disease Gastrointestinal problem constipation diarrhea

Data type

boolean

Alias
UMLS CUI [1,1]
C0008679
UMLS CUI [1,2]
C0017187
UMLS CUI [1,3]
C0009806
UMLS CUI [1,4]
C0011991
4d. DURING THE PAST 12 MONTHS, has this child had FREQUENT or CHRONIC difficulty with any of the following? Repeated or chronic physical pain, including headaches or other back or body pain
Description

chronic disease Headache BODY ACHE

Data type

boolean

Alias
UMLS CUI [1,1]
C0008679
UMLS CUI [1,2]
C0018681
UMLS CUI [1,3]
C0741585
4e. DURING THE PAST 12 MONTHS, has this child had FREQUENT or CHRONIC difficulty with any of the following? Toothaches
Description

chronic disease Toothache

Data type

boolean

Alias
UMLS CUI [1,1]
C0008679
UMLS CUI [1,2]
C0040460
4f. DURING THE PAST 12 MONTHS, has this child had FREQUENT or CHRONIC difficulty with any of the following?Bleeding gums
Description

chronic disease Gingival Hemorrhage

Data type

boolean

Alias
UMLS CUI [1,1]
C0008679
UMLS CUI [1,2]
C0017565
4g. DURING THE PAST 12 MONTHS, has this child had FREQUENT or CHRONIC difficulty with any of the following? Decayed teeth or cavities
Description

chronic disease Dental caries

Data type

boolean

Alias
UMLS CUI [1,1]
C0008679
UMLS CUI [1,2]
C0011334
5a. Does this child have any of the following? Serious difficulty concentrating, remembering, or making decisions because of a physical, mental, or emotional condition
Description

difficulty concentrating; Mental condition

Data type

boolean

Alias
UMLS CUI [1]
C0947509
UMLS CUI [2]
C3840291
5b. Does this child have any of the following? Serious difficulty walking or climbing stairs
Description

difficulty walking; Difficulty walking up stairs

Data type

boolean

Alias
UMLS CUI [1]
C0311394
UMLS CUI [2]
C0239067
5c. Does this child have any of the following? Difficulty dressing or bathing
Description

Difficulty dressing; difficulty bathing

Data type

boolean

Alias
UMLS CUI [1]
C0562886
UMLS CUI [2]
C1948100
5d. Does this child have any of the following? Deafness or problems with hearing
Description

hearing problem Deafness

Data type

boolean

Alias
UMLS CUI [1,1]
C0260662
UMLS CUI [1,2]
C0011053
5e. Does this child have any of the following? Blindness or problems with seeing, even when wearing glasses
Description

visual impairment Blindness

Data type

boolean

Alias
UMLS CUI [1,1]
C3665347
UMLS CUI [1,2]
C0456909
6. Has a doctor or other health care provider EVER told you that this child has Allergies (including food, drug, insect, or other)?
Description

Hypersensitivity

Data type

boolean

Alias
UMLS CUI [1]
C0020517
6. If yes, does this child CURRENTLY have the condition?
Description

Hypersensitivity

Data type

boolean

Alias
UMLS CUI [1]
C0020517
6. If yes, is it:
Description

Hypersensitivity

Data type

text

Alias
UMLS CUI [1]
C0020517
7. Has a doctor or other health care provider EVER told you that this child has Arthritis?
Description

Arthritis

Data type

boolean

Alias
UMLS CUI [1]
C0003864
7. If yes, does this child CURRENTLY have the condition?
Description

Arthritis

Data type

boolean

Alias
UMLS CUI [1]
C0003864
7. If yes, is it:
Description

Arthritis

Data type

text

Alias
UMLS CUI [1]
C0003864
8. Has a doctor or other health care provider EVER told you that this child has Asthma?
Description

Asthma

Data type

boolean

Alias
UMLS CUI [1]
C0004096
8. If yes, does this child CURRENTLY have the condition?
Description

Asthma

Data type

boolean

Alias
UMLS CUI [1]
C0004096
8. If yes, is it:
Description

Asthma

Data type

text

Alias
UMLS CUI [1]
C0004096
9. Has a doctor or other health care provider EVER told you that this child has Blood Disorders (such as Sickle Cell Disease, Thalassemia, or Hemophilia)?
Description

Hematological Disease Sickle Cell Disease Thalassemia Hemophilia

Data type

boolean

Alias
UMLS CUI [1,1]
C0018939
UMLS CUI [1,2]
C0002895
UMLS CUI [1,3]
C0039730
UMLS CUI [1,4]
C0684275
9. If yes, does this child CURRENTLY have the condition?
Description

Hematological Disease Sickle Cell Disease Thalassemia Hemophilia

Data type

boolean

Alias
UMLS CUI [1,1]
C0018939
UMLS CUI [1,2]
C0002895
UMLS CUI [1,3]
C0039730
UMLS CUI [1,4]
C0684275
9. f yes, is it:
Description

Hematological Disease Sickle Cell Disease Thalassemia Hemophilia

Data type

text

Alias
UMLS CUI [1,1]
C0018939
UMLS CUI [1,2]
C0002895
UMLS CUI [1,3]
C0039730
UMLS CUI [1,4]
C0684275
10. Has a doctor or other health care provider EVER told you that this child has Brain Injury, Concussion or head injury?
Description

Brain Injury Concussion head injury

Data type

boolean

Alias
UMLS CUI [1,1]
C0270611
UMLS CUI [1,2]
C0006107
UMLS CUI [1,3]
C0018674
10. If yes, does this child CURRENTLY have the condition?
Description

Brain Injury Concussion head injury

Data type

boolean

Alias
UMLS CUI [1,1]
C0270611
UMLS CUI [1,2]
C0006107
UMLS CUI [1,3]
C0018674
10. f yes, is it:
Description

Brain Injury Concussion head injury

Data type

text

Alias
UMLS CUI [1,1]
C0270611
UMLS CUI [1,2]
C0006107
UMLS CUI [1,3]
C0018674
11. Has a doctor or other health care provider EVER told you that this child has Cerebral Palsy?
Description

Cerebral Palsy

Data type

boolean

Alias
UMLS CUI [1]
C0007789
11. If yes, does this child CURRENTLY have the condition?
Description

Cerebral Palsy

Data type

boolean

Alias
UMLS CUI [1]
C0007789
11. If yes, is it:
Description

Cerebral Palsy

Data type

text

Alias
UMLS CUI [1]
C0007789
12. Has a doctor or other health care provider EVER told you that this child has Cystic Fibrosis?
Description

Cystic Fibrosis

Data type

boolean

Alias
UMLS CUI [1]
C0010674
12. If yes, does this child CURRENTLY have the condition?
Description

Cystic Fibrosis

Data type

boolean

Alias
UMLS CUI [1]
C0010674
12. If yes, is it:
Description

Cystic Fibrosis

Data type

text

Alias
UMLS CUI [1]
C0010674
13. Has a doctor or other health care provider EVER told you that this child has Diabetes?
Description

Diabetes

Data type

boolean

Alias
UMLS CUI [1]
C0011847
13. If yes, does this child CURRENTLY have the condition?
Description

Diabetes

Data type

boolean

Alias
UMLS CUI [1]
C0011847
13. If yes, is it:
Description

Diabetes

Data type

text

Alias
UMLS CUI [1]
C0011847
14. Has a doctor or other health care provider EVER told you that this child has Down Syndrome?
Description

Down Syndrome

Data type

boolean

Alias
UMLS CUI [1]
C0013080
14. If yes, does this child CURRENTLY have the condition?
Description

Down Syndrome

Data type

boolean

Alias
UMLS CUI [1]
C0013080
14. If yes, is it:
Description

Down Syndrome

Data type

text

Alias
UMLS CUI [1]
C0013080
15. Has a doctor or other health care provider EVER told you that this child has Epilepsy or Seizure Disorder?
Description

Epilepsy Seizure Disorder

Data type

boolean

Alias
UMLS CUI [1,1]
C0014544
UMLS CUI [1,2]
C0036572
15. If yes, does this child CURRENTLY have the condition?
Description

Epilepsy Seizure Disorder

Data type

boolean

Alias
UMLS CUI [1,1]
C0014544
UMLS CUI [1,2]
C0036572
15. If yes, is it:
Description

Epilepsy Seizure Disorder

Data type

text

Alias
UMLS CUI [1,1]
C0014544
UMLS CUI [1,2]
C0036572
16. Has a doctor or other health care provider EVER told you that this child has Heart Condition?
Description

Heart Condition

Data type

boolean

Alias
UMLS CUI [1]
C3842523
16. If yes, does this child CURRENTLY have the condition?
Description

Heart Condition

Data type

boolean

Alias
UMLS CUI [1]
C3842523
16. If yes, is it:
Description

Heart Condition

Data type

text

Alias
UMLS CUI [1]
C3842523
17. Has a doctor or other health care provider EVER told you that this child has Frequent or Severe Headaches, including Migraine?
Description

Severe Headaches Migraine

Data type

boolean

Alias
UMLS CUI [1,1]
C2957106
UMLS CUI [1,2]
C0149931
17. If yes, does this child CURRENTLY have the condition?
Description

Severe Headaches Migraine

Data type

boolean

Alias
UMLS CUI [1,1]
C2957106
UMLS CUI [1,2]
C0149931
17. If yes, is it:
Description

Severe Headaches Migraine

Data type

text

Alias
UMLS CUI [1,1]
C2957106
UMLS CUI [1,2]
C0149931
18. Has a doctor or other health care provider EVER told you that this child has Tourette Syndrome?
Description

Tourette Syndrome

Data type

boolean

Alias
UMLS CUI [1]
C0040517
18. If yes, does this child CURRENTLY have the condition?
Description

Tourette Syndrome

Data type

boolean

Alias
UMLS CUI [1]
C0040517
18. If yes, is it:
Description

Tourette Syndrome

Data type

text

Alias
UMLS CUI [1]
C0040517
19. Has a doctor or other health care provider EVER told you that this child has Anxiety Problems?
Description

Anxiety Problem

Data type

boolean

Alias
UMLS CUI [1]
C1387808
19. If yes, does this child CURRENTLY have the condition?
Description

Anxiety Problem

Data type

boolean

Alias
UMLS CUI [1]
C1387808
19. If yes, is it:
Description

Anxiety Problem

Data type

text

Alias
UMLS CUI [1]
C1387808
20. Has a doctor or other health care provider EVER told you that this child has Depression?
Description

Depression

Data type

boolean

Alias
UMLS CUI [1]
C0011581
20. If yes, does this child CURRENTLY have the condition?
Description

Depression

Data type

boolean

Alias
UMLS CUI [1]
C0011581
20. If yes, is it:
Description

Depression

Data type

text

Alias
UMLS CUI [1]
C0011581
21. Has a doctor or other health care provider EVER told you that this child has Other Genetic or Inherited Condition?
Description

Hereditary Diseases

Data type

boolean

Alias
UMLS CUI [1]
C0019247
21. If yes, does this child CURRENTLY have the condition?
Description

Hereditary Diseases

Data type

boolean

Alias
UMLS CUI [1]
C0019247
21. If yes, is it:
Description

Hereditary Diseases

Data type

text

Alias
UMLS CUI [1]
C0019247
22. Has a doctor, other health care provider, or educator EVER told you that this child has Behavioral or Conduct Problems?
Description

Behavioral disorder

Data type

boolean

Alias
UMLS CUI [1]
C0004930
22. If yes, does this child CURRENTLY have the condition?
Description

Behavioral disorder

Data type

boolean

Alias
UMLS CUI [1]
C0004930
22. If yes, is it:
Description

Behavioral disorder

Data type

text

Alias
UMLS CUI [1]
C0004930
23. Has a doctor, other health care provider, or educator EVER told you that this child has: Substance Abuse Disorder?
Description

Substance Abuse Disorder

Data type

boolean

Alias
UMLS CUI [1]
C0038586
23. If yes, does this child CURRENTLY have the condition?
Description

Substance Abuse Disorder

Data type

boolean

Alias
UMLS CUI [1]
C0038586
23. If yes, is it:
Description

Substance Abuse Disorder

Data type

text

Alias
UMLS CUI [1]
C0038586
24. Has a doctor, other health care provider, or educator EVER told you that this child has Developmental Delay?
Description

Developmental Delay

Data type

boolean

Alias
UMLS CUI [1]
C0424605
24. If yes, does this child CURRENTLY have the condition?
Description

Developmental Delay

Data type

boolean

Alias
UMLS CUI [1]
C0424605
24. If yes, is it:
Description

Developmental Delay

Data type

text

Alias
UMLS CUI [1]
C0424605
25. Has a doctor, other health care provider, or educator EVER told you that this child has Intellectual Disability (also known as Mental Retardation)?
Description

Intellectual Disability Mental Retardation

Data type

boolean

Alias
UMLS CUI [1,1]
C3714756
UMLS CUI [1,2]
C0025362
25. If yes, does this child CURRENTLY have the condition?
Description

Intellectual Disability Mental Retardation

Data type

boolean

Alias
UMLS CUI [1,1]
C3714756
UMLS CUI [1,2]
C0025362
25. If yes, is it:
Description

Intellectual Disability Mental Retardation

Data type

text

Alias
UMLS CUI [1,1]
C3714756
UMLS CUI [1,2]
C0025362
26. Has a doctor, other health care provider, or educator EVER told you that this child has Speech or Other Language Disorder?
Description

Speech disorder

Data type

boolean

Alias
UMLS CUI [1]
C0037822
26. If yes, does this child CURRENTLY have the condition?
Description

Speech disorder

Data type

boolean

Alias
UMLS CUI [1]
C0037822
26. If yes, is it:
Description

Speech disorder

Data type

text

Alias
UMLS CUI [1]
C0037822
27. Has a doctor, other health care provider, or educator EVER told you that this child has Learning Disability?
Description

Learning Disability

Data type

boolean

Alias
UMLS CUI [1]
C0751265
27. If yes, does this child CURRENTLY have the condition?
Description

Learning Disability

Data type

boolean

Alias
UMLS CUI [1]
C0751265
27. If yes, is it:
Description

Learning Disability

Data type

text

Alias
UMLS CUI [1]
C0751265
28. Has a doctor or other health care provider EVER told you that this child has any other Mental Health Condition?
Description

mental condition

Data type

boolean

Alias
UMLS CUI [1]
C3840291
28. If yes, specify:
Description

mental condition

Data type

text

Alias
UMLS CUI [1]
C3840291
28. If yes, does this child CURRENTLY have the condition?
Description

mental condition

Data type

boolean

Alias
UMLS CUI [1]
C3840291
28.If yes, is it:
Description

mental condition

Data type

text

Alias
UMLS CUI [1]
C3840291
29. Has a doctor or other health care provider EVER told you that this child has Autism or Autism Spectrum Disorder (ASD)? Include diagnoses of Asperger’s Disorder or Pervasive Developmental Disorder (PDD).
Description

If No, SKIP to question 34

Data type

boolean

Alias
UMLS CUI [1]
C1510586
29. If yes, does this child CURRENTLY have the condition?
Description

Autism Spectrum Disorder

Data type

boolean

Alias
UMLS CUI [1]
C1510586
29. If yes, is it:
Description

Autism Spectrum Disorder

Data type

text

Alias
UMLS CUI [1]
C1510586
30. How old was this child when a doctor or other health care provider FIRST told you that he or she had Autism, ASD, Asperger’s Disorder or PDD?
Description

age

Data type

integer

Measurement units
  • years
Alias
UMLS CUI [1]
C0001779
years
31. What type of doctor or other health care provider was the FIRST to tell you that this child had Autism, ASD, Asperger’s Disorder or PDD?
Description

physician

Data type

text

Alias
UMLS CUI [1]
C0031831
31. If other, specify:
Description

other physician

Data type

text

Alias
UMLS CUI [1,1]
C0205394
UMLS CUI [1,2]
C0031831
32. Is this child CURRENTLY taking medication for Autism, ASD, Asperger’s Disorder or PDD?
Description

medication Autism Spectrum Disorder

Data type

boolean

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C1510586
33. At any time DURING THE PAST 12 MONTHS, did this child receive behavioral treatment for Autism, ASD, Asperger’s Disorder or PDD, such as training or an intervention that you or this child received to help with his or her behavior?
Description

Behavior Therapy Autism Spectrum Disorder

Data type

boolean

Alias
UMLS CUI [1,1]
C0004933
UMLS CUI [1,2]
C1510586
34. Has a doctor or other health care provider EVER told you that this child has Attention Deficit Disorder or Attention Deficit/Hyperactivity Disorder, that is, ADD or ADHD?
Description

If No ➔ SKIP to question 37

Data type

boolean

Alias
UMLS CUI [1]
C1263846
34. If yes, does this child CURRENTLY have the condition?
Description

Attention deficit hyperactivity disorder

Data type

boolean

Alias
UMLS CUI [1]
C1263846
34. If yes, is it:
Description

Attention deficit hyperactivity disorder

Data type

text

Alias
UMLS CUI [1]
C1263846
35. Is this child currently taking medication for ADD or ADHD?
Description

medication Attention deficit hyperactivity disorder

Data type

boolean

Alias
UMLS CUI [1,1]
C0013227
UMLS CUI [1,2]
C1263846
36. At any time DURING THE PAST 12 MONTHS, did this child receive behavioral treatment for ADD or ADHD, such as training or an intervention that you or this child received to help with his or her behavior?
Description

Behavior Therapy Attention deficit hyperactivity disorder

Data type

boolean

Alias
UMLS CUI [1,1]
C0004933
UMLS CUI [1,2]
C1263846
37. DURING THE PAST 12 MONTHS, how often have this child’s health conditions or problems affected his or her ability to do things other children his or her age do?
Description

health condition affect ability

Data type

text

Alias
UMLS CUI [1,1]
C2707304
UMLS CUI [1,2]
C0001721
UMLS CUI [1,3]
C0085732
38. To what extent do this child’s health conditions or problems affect his or her ability to do things?
Description

health condition affect ability

Data type

text

Alias
UMLS CUI [1,1]
C2707304
UMLS CUI [1,2]
C0001721
UMLS CUI [1,3]
C0085732
Back to the top of the page

Similar models

A. This Child’s Health

11 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
This Child’s Health
C0018759 (UMLS CUI-1)
C0008059 (UMLS CUI-2)
Item
1.In general, how would you describe this child’s health (the one named above)?
text
C0018759 (UMLS CUI [1,1])
C0008059 (UMLS CUI [1,2])
health Child
Code List
1.In general, how would you describe this child’s health (the one named above)?
CL Item
Very good (1)
CL Item
Excellent (2)
CL Item
Fair (3)
CL Item
Good (4)
CL Item
Poor (5)
Item
2. How would you describe the condition of this child’s teeth?
text
C0018759 (UMLS CUI [1,1])
C0040426 (UMLS CUI [1,2])
health status teeth
Code List
2. How would you describe the condition of this child’s teeth?
CL Item
This child does not have any teeth (1)
CL Item
Excellent (2)
CL Item
Very good (3)
CL Item
Good (4)
CL Item
Fair (5)
CL Item
Poor (6)
Item
3a. How well do each of the following phrases describe this child? This child shows interest and curiosity in learning new things
text
C0870265 (UMLS CUI [1,1])
C0564588 (UMLS CUI [1,2])
Child Attitudes Affectionate
Code List
3a. How well do each of the following phrases describe this child? This child shows interest and curiosity in learning new things
CL Item
Definitely true (1)
CL Item
Somewhat true (2)
CL Item
Not true (3)
Item
3b. How well do each of the following phrases describe this child? This child works to finish tasks he or she starts
text
C0870265 (UMLS CUI [1,1])
C0205197 (UMLS CUI [1,2])
C3540678 (UMLS CUI [1,3])
Child Attitudes Affectionate
Code List
3b. How well do each of the following phrases describe this child? This child works to finish tasks he or she starts
CL Item
Definitely true (1)
CL Item
Somewhat true (2)
CL Item
Not true (3)
Item
3c. How well do each of the following phrases describe this child? This child stays calm and in control when faced with a challenge
text
C0870265 (UMLS CUI [1,1])
C0564528 (UMLS CUI [1,2])
Child Attitudes Affectionate
Code List
3c. How well do each of the following phrases describe this child? This child stays calm and in control when faced with a challenge
CL Item
Definitely true (1)
CL Item
Somewhat true (2)
CL Item
Not true (3)
Item
3d. How well do each of the following phrases describe this child? This child cares about doing well in school
text
C0870265 (UMLS CUI [1,1])
C0036373 (UMLS CUI [1,2])
Child Attitudes Affectionate
Code List
3d. How well do each of the following phrases describe this child? This child cares about doing well in school
CL Item
Definitely true (1)
CL Item
Somewhat true (2)
CL Item
Not true (3)
Item
3e. How well do each of the following phrases describe this child? This child does all required homework
text
C0870265 (UMLS CUI [1,1])
C4274630 (UMLS CUI [1,2])
Child Attitudes Affectionate
Code List
3e. How well do each of the following phrases describe this child? This child does all required homework
CL Item
Definitely true (1)
CL Item
Somewhat true (2)
CL Item
Not true (3)
Item
3f. How well do each of the following phrases describe this child? This child is bullied, picked on, or excluded by other children
text
C0870265 (UMLS CUI [1,1])
C0562379 (UMLS CUI [1,2])
Child Attitudes Affectionate
Code List
3f. How well do each of the following phrases describe this child? This child is bullied, picked on, or excluded by other children
CL Item
Definitely true (1)
CL Item
Somewhat true (2)
CL Item
Not true (3)
Item
3g. How well do each of the following phrases describe this child? This child bullies others, picks on them, or excludes them
text
C0870265 (UMLS CUI [1,1])
C0424318 (UMLS CUI [1,2])
Child Attitudes Affectionate
Code List
3g. How well do each of the following phrases describe this child? This child bullies others, picks on them, or excludes them
CL Item
Definitely true (1)
CL Item
Somewhat true (2)
CL Item
Not true (3)
Item
3h. How well do each of the following phrases describe this child? This child argues too much
text
C0870265 (UMLS CUI [1,1])
C0848421 (UMLS CUI [1,2])
Child Attitudes Affectionate
Code List
3h. How well do each of the following phrases describe this child? This child argues too much
CL Item
Definitely true (1)
CL Item
Somewhat true (2)
CL Item
Not true (3)
chronic disease Respiration Disorders wheezing
Item
4a. DURING THE PAST 12 MONTHS, has this child had FREQUENT or CHRONIC difficulty with any of the following?Breathing or other respiratory problems (such as wheezing or shortness of breath)
boolean
C0008679 (UMLS CUI [1,1])
C0035204 (UMLS CUI [1,2])
C0043144 (UMLS CUI [1,3])
chronic disease Eating Disorders Deglutition Disorders
Item
4b. DURING THE PAST 12 MONTHS, has this child had FREQUENT or CHRONIC difficulty with any of the following? Eating or swallowing because of health condition
boolean
C0008679 (UMLS CUI [1,1])
C0013473 (UMLS CUI [1,2])
C0011168 (UMLS CUI [1,3])
chronic disease Gastrointestinal problem constipation diarrhea
Item
4c. DURING THE PAST 12 MONTHS, has this child had FREQUENT or CHRONIC difficulty with any of the following?Digesting food, including stomach/ intestinal problems, constipation, or diarrhea
boolean
C0008679 (UMLS CUI [1,1])
C0017187 (UMLS CUI [1,2])
C0009806 (UMLS CUI [1,3])
C0011991 (UMLS CUI [1,4])
chronic disease Headache BODY ACHE
Item
4d. DURING THE PAST 12 MONTHS, has this child had FREQUENT or CHRONIC difficulty with any of the following? Repeated or chronic physical pain, including headaches or other back or body pain
boolean
C0008679 (UMLS CUI [1,1])
C0018681 (UMLS CUI [1,2])
C0741585 (UMLS CUI [1,3])
chronic disease Toothache
Item
4e. DURING THE PAST 12 MONTHS, has this child had FREQUENT or CHRONIC difficulty with any of the following? Toothaches
boolean
C0008679 (UMLS CUI [1,1])
C0040460 (UMLS CUI [1,2])
chronic disease Gingival Hemorrhage
Item
4f. DURING THE PAST 12 MONTHS, has this child had FREQUENT or CHRONIC difficulty with any of the following?Bleeding gums
boolean
C0008679 (UMLS CUI [1,1])
C0017565 (UMLS CUI [1,2])
chronic disease Dental caries
Item
4g. DURING THE PAST 12 MONTHS, has this child had FREQUENT or CHRONIC difficulty with any of the following? Decayed teeth or cavities
boolean
C0008679 (UMLS CUI [1,1])
C0011334 (UMLS CUI [1,2])
difficulty concentrating; Mental condition
Item
5a. Does this child have any of the following? Serious difficulty concentrating, remembering, or making decisions because of a physical, mental, or emotional condition
boolean
C0947509 (UMLS CUI [1])
C3840291 (UMLS CUI [2])
difficulty walking; Difficulty walking up stairs
Item
5b. Does this child have any of the following? Serious difficulty walking or climbing stairs
boolean
C0311394 (UMLS CUI [1])
C0239067 (UMLS CUI [2])
Difficulty dressing; difficulty bathing
Item
5c. Does this child have any of the following? Difficulty dressing or bathing
boolean
C0562886 (UMLS CUI [1])
C1948100 (UMLS CUI [2])
hearing problem Deafness
Item
5d. Does this child have any of the following? Deafness or problems with hearing
boolean
C0260662 (UMLS CUI [1,1])
C0011053 (UMLS CUI [1,2])
visual impairment Blindness
Item
5e. Does this child have any of the following? Blindness or problems with seeing, even when wearing glasses
boolean
C3665347 (UMLS CUI [1,1])
C0456909 (UMLS CUI [1,2])
Hypersensitivity
Item
6. Has a doctor or other health care provider EVER told you that this child has Allergies (including food, drug, insect, or other)?
boolean
C0020517 (UMLS CUI [1])
Hypersensitivity
Item
6. If yes, does this child CURRENTLY have the condition?
boolean
C0020517 (UMLS CUI [1])
Item
6. If yes, is it:
text
C0020517 (UMLS CUI [1])
Hypersensitivity
Code List
6. If yes, is it:
CL Item
mild (1)
CL Item
moderate (2)
CL Item
severe (3)
Arthritis
Item
7. Has a doctor or other health care provider EVER told you that this child has Arthritis?
boolean
C0003864 (UMLS CUI [1])
Arthritis
Item
7. If yes, does this child CURRENTLY have the condition?
boolean
C0003864 (UMLS CUI [1])
Item
7. If yes, is it:
text
C0003864 (UMLS CUI [1])
Hypersensitivity
Code List
7. If yes, is it:
CL Item
mild (1)
CL Item
moderate (2)
CL Item
severe (3)
Asthma
Item
8. Has a doctor or other health care provider EVER told you that this child has Asthma?
boolean
C0004096 (UMLS CUI [1])
Asthma
Item
8. If yes, does this child CURRENTLY have the condition?
boolean
C0004096 (UMLS CUI [1])
Item
8. If yes, is it:
text
C0004096 (UMLS CUI [1])
Hypersensitivity
Code List
8. If yes, is it:
CL Item
mild (1)
CL Item
moderate (2)
CL Item
severe (3)
Hematological Disease Sickle Cell Disease Thalassemia Hemophilia
Item
9. Has a doctor or other health care provider EVER told you that this child has Blood Disorders (such as Sickle Cell Disease, Thalassemia, or Hemophilia)?
boolean
C0018939 (UMLS CUI [1,1])
C0002895 (UMLS CUI [1,2])
C0039730 (UMLS CUI [1,3])
C0684275 (UMLS CUI [1,4])
Hematological Disease Sickle Cell Disease Thalassemia Hemophilia
Item
9. If yes, does this child CURRENTLY have the condition?
boolean
C0018939 (UMLS CUI [1,1])
C0002895 (UMLS CUI [1,2])
C0039730 (UMLS CUI [1,3])
C0684275 (UMLS CUI [1,4])
Item
9. f yes, is it:
text
C0018939 (UMLS CUI [1,1])
C0002895 (UMLS CUI [1,2])
C0039730 (UMLS CUI [1,3])
C0684275 (UMLS CUI [1,4])
Hypersensitivity
Code List
9. f yes, is it:
CL Item
mild (1)
CL Item
moderate (2)
CL Item
severe (3)
Brain Injury Concussion head injury
Item
10. Has a doctor or other health care provider EVER told you that this child has Brain Injury, Concussion or head injury?
boolean
C0270611 (UMLS CUI [1,1])
C0006107 (UMLS CUI [1,2])
C0018674 (UMLS CUI [1,3])
Brain Injury Concussion head injury
Item
10. If yes, does this child CURRENTLY have the condition?
boolean
C0270611 (UMLS CUI [1,1])
C0006107 (UMLS CUI [1,2])
C0018674 (UMLS CUI [1,3])
Item
10. f yes, is it:
text
C0270611 (UMLS CUI [1,1])
C0006107 (UMLS CUI [1,2])
C0018674 (UMLS CUI [1,3])
Hypersensitivity
Code List
10. f yes, is it:
CL Item
mild (1)
CL Item
moderate (2)
CL Item
severe (3)
Cerebral Palsy
Item
11. Has a doctor or other health care provider EVER told you that this child has Cerebral Palsy?
boolean
C0007789 (UMLS CUI [1])
Cerebral Palsy
Item
11. If yes, does this child CURRENTLY have the condition?
boolean
C0007789 (UMLS CUI [1])
Item
11. If yes, is it:
text
C0007789 (UMLS CUI [1])
Hypersensitivity
Code List
11. If yes, is it:
CL Item
mild (1)
CL Item
moderate (2)
CL Item
severe (3)
Cystic Fibrosis
Item
12. Has a doctor or other health care provider EVER told you that this child has Cystic Fibrosis?
boolean
C0010674 (UMLS CUI [1])
Cystic Fibrosis
Item
12. If yes, does this child CURRENTLY have the condition?
boolean
C0010674 (UMLS CUI [1])
Item
12. If yes, is it:
text
C0010674 (UMLS CUI [1])
Hypersensitivity
Code List
12. If yes, is it:
CL Item
mild (1)
CL Item
moderate (2)
CL Item
severe (3)
Diabetes
Item
13. Has a doctor or other health care provider EVER told you that this child has Diabetes?
boolean
C0011847 (UMLS CUI [1])
Diabetes
Item
13. If yes, does this child CURRENTLY have the condition?
boolean
C0011847 (UMLS CUI [1])
Item
13. If yes, is it:
text
C0011847 (UMLS CUI [1])
Hypersensitivity
Code List
13. If yes, is it:
CL Item
mild (1)
CL Item
moderate (2)
CL Item
severe (3)
Down Syndrome
Item
14. Has a doctor or other health care provider EVER told you that this child has Down Syndrome?
boolean
C0013080 (UMLS CUI [1])
Down Syndrome
Item
14. If yes, does this child CURRENTLY have the condition?
boolean
C0013080 (UMLS CUI [1])
Item
14. If yes, is it:
text
C0013080 (UMLS CUI [1])
Hypersensitivity
Code List
14. If yes, is it:
CL Item
mild (1)
CL Item
moderate (2)
CL Item
severe (3)
Epilepsy Seizure Disorder
Item
15. Has a doctor or other health care provider EVER told you that this child has Epilepsy or Seizure Disorder?
boolean
C0014544 (UMLS CUI [1,1])
C0036572 (UMLS CUI [1,2])
Epilepsy Seizure Disorder
Item
15. If yes, does this child CURRENTLY have the condition?
boolean
C0014544 (UMLS CUI [1,1])
C0036572 (UMLS CUI [1,2])
Item
15. If yes, is it:
text
C0014544 (UMLS CUI [1,1])
C0036572 (UMLS CUI [1,2])
Hypersensitivity
Code List
15. If yes, is it:
CL Item
mild (1)
CL Item
moderate (2)
CL Item
severe (3)
Heart Condition
Item
16. Has a doctor or other health care provider EVER told you that this child has Heart Condition?
boolean
C3842523 (UMLS CUI [1])
Heart Condition
Item
16. If yes, does this child CURRENTLY have the condition?
boolean
C3842523 (UMLS CUI [1])
Item
16. If yes, is it:
text
C3842523 (UMLS CUI [1])
Hypersensitivity
Code List
16. If yes, is it:
CL Item
mild (1)
CL Item
moderate (2)
CL Item
severe (3)
Severe Headaches Migraine
Item
17. Has a doctor or other health care provider EVER told you that this child has Frequent or Severe Headaches, including Migraine?
boolean
C2957106 (UMLS CUI [1,1])
C0149931 (UMLS CUI [1,2])
Severe Headaches Migraine
Item
17. If yes, does this child CURRENTLY have the condition?
boolean
C2957106 (UMLS CUI [1,1])
C0149931 (UMLS CUI [1,2])
Item
17. If yes, is it:
text
C2957106 (UMLS CUI [1,1])
C0149931 (UMLS CUI [1,2])
Hypersensitivity
Code List
17. If yes, is it:
CL Item
mild (1)
CL Item
moderate (2)
CL Item
severe (3)
Tourette Syndrome
Item
18. Has a doctor or other health care provider EVER told you that this child has Tourette Syndrome?
boolean
C0040517 (UMLS CUI [1])
Tourette Syndrome
Item
18. If yes, does this child CURRENTLY have the condition?
boolean
C0040517 (UMLS CUI [1])
Item
18. If yes, is it:
text
C0040517 (UMLS CUI [1])
Hypersensitivity
Code List
18. If yes, is it:
CL Item
mild (1)
CL Item
moderate (2)
CL Item
severe (3)
Anxiety Problem
Item
19. Has a doctor or other health care provider EVER told you that this child has Anxiety Problems?
boolean
C1387808 (UMLS CUI [1])
Anxiety Problem
Item
19. If yes, does this child CURRENTLY have the condition?
boolean
C1387808 (UMLS CUI [1])
Item
19. If yes, is it:
text
C1387808 (UMLS CUI [1])
Hypersensitivity
Code List
19. If yes, is it:
CL Item
mild (1)
CL Item
moderate (2)
CL Item
severe (3)
Depression
Item
20. Has a doctor or other health care provider EVER told you that this child has Depression?
boolean
C0011581 (UMLS CUI [1])
Depression
Item
20. If yes, does this child CURRENTLY have the condition?
boolean
C0011581 (UMLS CUI [1])
Item
20. If yes, is it:
text
C0011581 (UMLS CUI [1])
Hypersensitivity
Code List
20. If yes, is it:
CL Item
mild (1)
CL Item
moderate (2)
CL Item
severe (3)
Hereditary Diseases
Item
21. Has a doctor or other health care provider EVER told you that this child has Other Genetic or Inherited Condition?
boolean
C0019247 (UMLS CUI [1])
Hereditary Diseases
Item
21. If yes, does this child CURRENTLY have the condition?
boolean
C0019247 (UMLS CUI [1])
Item
21. If yes, is it:
text
C0019247 (UMLS CUI [1])
Hypersensitivity
Code List
21. If yes, is it:
CL Item
mild (1)
CL Item
moderate (2)
CL Item
severe (3)
Behavioral disorder
Item
22. Has a doctor, other health care provider, or educator EVER told you that this child has Behavioral or Conduct Problems?
boolean
C0004930 (UMLS CUI [1])
Behavioral disorder
Item
22. If yes, does this child CURRENTLY have the condition?
boolean
C0004930 (UMLS CUI [1])
Item
22. If yes, is it:
text
C0004930 (UMLS CUI [1])
Hypersensitivity
Code List
22. If yes, is it:
CL Item
mild (1)
CL Item
moderate (2)
CL Item
severe (3)
Substance Abuse Disorder
Item
23. Has a doctor, other health care provider, or educator EVER told you that this child has: Substance Abuse Disorder?
boolean
C0038586 (UMLS CUI [1])
Substance Abuse Disorder
Item
23. If yes, does this child CURRENTLY have the condition?
boolean
C0038586 (UMLS CUI [1])
Item
23. If yes, is it:
text
C0038586 (UMLS CUI [1])
Hypersensitivity
Code List
23. If yes, is it:
CL Item
mild (1)
CL Item
moderate (2)
CL Item
severe (3)
Developmental Delay
Item
24. Has a doctor, other health care provider, or educator EVER told you that this child has Developmental Delay?
boolean
C0424605 (UMLS CUI [1])
Developmental Delay
Item
24. If yes, does this child CURRENTLY have the condition?
boolean
C0424605 (UMLS CUI [1])
Item
24. If yes, is it:
text
C0424605 (UMLS CUI [1])
Hypersensitivity
Code List
24. If yes, is it:
CL Item
mild (1)
CL Item
moderate (2)
CL Item
severe (3)
Intellectual Disability Mental Retardation
Item
25. Has a doctor, other health care provider, or educator EVER told you that this child has Intellectual Disability (also known as Mental Retardation)?
boolean
C3714756 (UMLS CUI [1,1])
C0025362 (UMLS CUI [1,2])
Intellectual Disability Mental Retardation
Item
25. If yes, does this child CURRENTLY have the condition?
boolean
C3714756 (UMLS CUI [1,1])
C0025362 (UMLS CUI [1,2])
Item
25. If yes, is it:
text
C3714756 (UMLS CUI [1,1])
C0025362 (UMLS CUI [1,2])
Hypersensitivity
Code List
25. If yes, is it:
CL Item
mild (1)
CL Item
moderate (2)
CL Item
severe (3)
Speech disorder
Item
26. Has a doctor, other health care provider, or educator EVER told you that this child has Speech or Other Language Disorder?
boolean
C0037822 (UMLS CUI [1])
Speech disorder
Item
26. If yes, does this child CURRENTLY have the condition?
boolean
C0037822 (UMLS CUI [1])
Item
26. If yes, is it:
text
C0037822 (UMLS CUI [1])
Hypersensitivity
Code List
26. If yes, is it:
CL Item
mild (1)
CL Item
moderate (2)
CL Item
severe (3)
Learning Disability
Item
27. Has a doctor, other health care provider, or educator EVER told you that this child has Learning Disability?
boolean
C0751265 (UMLS CUI [1])
Learning Disability
Item
27. If yes, does this child CURRENTLY have the condition?
boolean
C0751265 (UMLS CUI [1])
Item
27. If yes, is it:
text
C0751265 (UMLS CUI [1])
Hypersensitivity
Code List
27. If yes, is it:
CL Item
mild (1)
CL Item
moderate (2)
CL Item
severe (3)
mental condition
Item
28. Has a doctor or other health care provider EVER told you that this child has any other Mental Health Condition?
boolean
C3840291 (UMLS CUI [1])
mental condition
Item
28. If yes, specify:
text
C3840291 (UMLS CUI [1])
mental condition
Item
28. If yes, does this child CURRENTLY have the condition?
boolean
C3840291 (UMLS CUI [1])
Item
28.If yes, is it:
text
C3840291 (UMLS CUI [1])
Hypersensitivity
Code List
28.If yes, is it:
CL Item
mild (1)
CL Item
moderate (2)
CL Item
severe (3)
Autism Spectrum Disorder
Item
29. Has a doctor or other health care provider EVER told you that this child has Autism or Autism Spectrum Disorder (ASD)? Include diagnoses of Asperger’s Disorder or Pervasive Developmental Disorder (PDD).
boolean
C1510586 (UMLS CUI [1])
Autism Spectrum Disorder
Item
29. If yes, does this child CURRENTLY have the condition?
boolean
C1510586 (UMLS CUI [1])
Item
29. If yes, is it:
text
C1510586 (UMLS CUI [1])
Hypersensitivity
Code List
29. If yes, is it:
CL Item
mild (1)
CL Item
moderate (2)
CL Item
severe (3)
age
Item
30. How old was this child when a doctor or other health care provider FIRST told you that he or she had Autism, ASD, Asperger’s Disorder or PDD?
integer
C0001779 (UMLS CUI [1])
Item
31. What type of doctor or other health care provider was the FIRST to tell you that this child had Autism, ASD, Asperger’s Disorder or PDD?
text
C0031831 (UMLS CUI [1])
undefined item
Code List
31. What type of doctor or other health care provider was the FIRST to tell you that this child had Autism, ASD, Asperger’s Disorder or PDD?
CL Item
Primary Care Provider (1)
CL Item
Specialist (2)
CL Item
School Psychologist/ Counselor (3)
CL Item
Other Psychologist (Non-School) (4)
CL Item
Psychiatrist (5)
CL Item
Other, specify (6)
CL Item
Don’t know (7)
other physician
Item
31. If other, specify:
text
C0205394 (UMLS CUI [1,1])
C0031831 (UMLS CUI [1,2])
medication Autism Spectrum Disorder
Item
32. Is this child CURRENTLY taking medication for Autism, ASD, Asperger’s Disorder or PDD?
boolean
C0013227 (UMLS CUI [1,1])
C1510586 (UMLS CUI [1,2])
Behavior Therapy Autism Spectrum Disorder
Item
33. At any time DURING THE PAST 12 MONTHS, did this child receive behavioral treatment for Autism, ASD, Asperger’s Disorder or PDD, such as training or an intervention that you or this child received to help with his or her behavior?
boolean
C0004933 (UMLS CUI [1,1])
C1510586 (UMLS CUI [1,2])
Attention deficit hyperactivity disorder
Item
34. Has a doctor or other health care provider EVER told you that this child has Attention Deficit Disorder or Attention Deficit/Hyperactivity Disorder, that is, ADD or ADHD?
boolean
C1263846 (UMLS CUI [1])
Attention deficit hyperactivity disorder
Item
34. If yes, does this child CURRENTLY have the condition?
boolean
C1263846 (UMLS CUI [1])
Item
34. If yes, is it:
text
C1263846 (UMLS CUI [1])
Hypersensitivity
Code List
34. If yes, is it:
CL Item
mild (1)
CL Item
moderate (2)
CL Item
severe (3)
medication Attention deficit hyperactivity disorder
Item
35. Is this child currently taking medication for ADD or ADHD?
boolean
C0013227 (UMLS CUI [1,1])
C1263846 (UMLS CUI [1,2])
Behavior Therapy Attention deficit hyperactivity disorder
Item
36. At any time DURING THE PAST 12 MONTHS, did this child receive behavioral treatment for ADD or ADHD, such as training or an intervention that you or this child received to help with his or her behavior?
boolean
C0004933 (UMLS CUI [1,1])
C1263846 (UMLS CUI [1,2])
Item
37. DURING THE PAST 12 MONTHS, how often have this child’s health conditions or problems affected his or her ability to do things other children his or her age do?
text
C2707304 (UMLS CUI [1,1])
C0001721 (UMLS CUI [1,2])
C0085732 (UMLS CUI [1,3])
health condition affect ability
Code List
37. DURING THE PAST 12 MONTHS, how often have this child’s health conditions or problems affected his or her ability to do things other children his or her age do?
CL Item
This child does not have any conditions ➔ SKIP to question B1 (1)
CL Item
Never (2)
CL Item
Sometimes (3)
CL Item
Usually (4)
CL Item
Always (5)
Item
38. To what extent do this child’s health conditions or problems affect his or her ability to do things?
text
C2707304 (UMLS CUI [1,1])
C0001721 (UMLS CUI [1,2])
C0085732 (UMLS CUI [1,3])
undefined item
Code List
38. To what extent do this child’s health conditions or problems affect his or her ability to do things?
CL Item
Very little (1)
CL Item
Somewhat (2)
CL Item
A great deal (3)
Back to the top of the page 

Contact

Please use this form for feedback, questions and suggestions for improvements.

Fields marked with * are required.

Help

Do you need help on how to use the search function? Please watch the corresponding tutorial video for more details and learn how to use the search function most efficiently.

Watch Tutorial